The original effective date of this notice was April 14, The most recent revision date is shown at the end of this notice.

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1 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION WITH REGARD TO YOUR HEALTH BENEFITS. PLEASE REVIEW IT CAREFULLY. HIPAA Notice of Privacy Practices The original effective date of this notice was April 14, The most recent revision date is shown at the end of this notice. Please read this notice carefully. This tells you who can see your protected health information (PHI). It tells you when we have to ask for your OK before we share it. It tells you when we can share it without your OK. It also tells you what rights you have to see and change your information. Information about your health and money is private. The law says we must keep this kind of information, called PHI, safe for our members. That means if you re a member right now or if you used to be, your information is safe. We get information about you from state agencies for Medicaid Children s Health Insurance Program after you become eligible and sign up for our health plan. We also get it from your doctors, clinics, labs and hospitals so we can OK and pay for your healthcare. Federal law says we must tell you what the law says we have to do to protect PHI that s told to us, in writing or saved on a computer. We also have to tell you how we keep it safe. To protect PHI: On paper (called physical), we: Lock our offices and files Destroy paper with health information so others can t get it Saved on a computer (called technical), we: Use passwords so only the right people can get in Use special programs to watch our systems Used or shared by people who work for us, doctors or the state, we: Make rules for keeping information safe (called policies and procedures) Teach people who work for us to follow the rules When is it OK for us to use and share your PHI? We can share your PHI with your family or a person you choose who helps with or pays for your healthcare if you tell us it s OK. Sometimes, we can use and share it without your OK: For your medical care To help doctors, hospitals and others get you the care you need Healthy Blue is the trade name of Community Care Health Plan of Louisiana, Inc., an independent licensee of the Blue Cross and Blue Shield Association. BLA-MEM

2 For payment, healthcare operations and treatment To share information with the doctors, clinics and others who bill us for your care When we say we ll pay for healthcare or services before you get them To find ways to make our programs better, as well as giving your PHI to health information exchanges for payment, healthcare operations and treatment. If you don t want this, please visit for more information. For healthcare business reasons To help with audits, fraud and abuse prevention programs, planning, and everyday work To find ways to make our programs better For public health reasons To help public health officials keep people from getting sick or hurt With others who help with or pay for your care With your family or a person you choose who helps with or pays for your healthcare, if you tell us it s OK With someone who helps with or pays for your healthcare, if you can t speak for yourself and it s best for you We must get your OK in writing before we use or share your PHI for all but your care, payment, everyday business, research or other things listed below. We have to get your written OK before we share psychotherapy notes from your doctor about you. You may tell us in writing that you want to take back your written OK. We can t take back what we used or shared when we had your OK. But we will stop using or sharing your PHI in the future. Other ways we can or the law says we have to use your PHI: To help the police and other people who make sure others follow laws To report abuse and neglect To help the court when we re asked To answer legal documents To give information to health oversight agencies for things like audits or exams To help coroners, medical examiners or funeral directors find out your name and cause of death To help when you ve asked to give your body parts to science For research To keep you or others from getting sick or badly hurt To help people who work for the government with certain jobs To give information to workers compensation if you get sick or hurt at work What are your rights? You can ask to look at your PHI and get a copy of it. We don t have your whole medical record, though. If you want a copy of your whole medical record, ask your doctor or health clinic. You can ask us to change the medical record we have for you if you think something is wrong or missing. Sometimes, you can ask us not to share your PHI. But we don t have to agree to your request. You can ask us to send PHI to a different address than the one we have for you or in

3 some other way. We can do this if sending it to the address we have for you may put you in danger. You can ask us to tell you all the times over the past six years we ve shared your PHI with someone else. This won t list the times we ve shared it because of healthcare, payment, everyday healthcare business or some other reasons we didn t list here. You can ask for a paper copy of this notice at any time, even if you asked for this one by . If you pay the whole bill for a service, you can ask your doctor not to share the information about that service with us. What do we have to do? The law says we must keep your PHI private except as we ve said in this notice. We must tell you what the law says we have to do about privacy. We must do what we say we ll do in this notice. We must send your PHI to some other address or in a way other than regular mail if you ask for reasons that make sense, like if you re in danger. We must tell you if we have to share your PHI after you ve asked us not to. If state laws say we have to do more than what we ve said here, we ll follow those laws. We have to let you know if we think your PHI has been breached. We may contact you By giving your phone numbers, we, along with our affiliates and/or vendors, may call or text you using an automatic telephone dialing system and/or an artificial voice. We only do this in line with the Telephone Consumer Protection Act (TCPA). The calls may be to let you know about treatment options or other health-related benefits and services. If you do not want to be reached by phone, just let the caller know, and we won t contact you in this way anymore. Or you may call to add your phone number to our Do Not Call list. At any time, you may call the number on your member ID card to opt out of phone calls or texts. What if you have questions? If you have questions about our privacy rules or want to use your rights, please call Member Services at If you re deaf or hard of hearing, call TTY 711. What if you have a complaint? We re here to help. If you feel your PHI hasn t been kept safe, you may call Member Services or contact the Department of Health and Human Services. Nothing bad will happen to you if you complain. Write to or call the Department of Health and Human Services: Office for Civil Rights U.S. Department of Health and Human Services 1301 Young St., Suite 1169 Dallas, TX Phone: TDD: Fax:

4 We reserve the right to change this Health Insurance Portability and Accountability Act (HIPAA) notice and the ways we keep your PHI safe. If that happens, we ll tell you about the changes in a newsletter. We ll also post them on the Web at Race, ethnicity and language We receive race, ethnicity and language information about you from the state Medicaid agency and the Children s Health Insurance Program. We protect this information as described in this notice. We use this information to: Make sure you get the care you need Create programs to improve health outcomes Develop and send health education information Let doctors know about your language needs Provide translator services We do not use this information to: Issue health insurance Decide how much to charge for services Determine benefits Disclose to unapproved users Your personal information We may ask for, use and share personal information (PI) as we talked about in this notice. Your PI is not public and tells us who you are. It s often taken for insurance reasons. We may use your PI to make decisions about your: Health Habits Hobbies We may get PI about you from other people or groups like: Doctors Hospitals Other insurance companies We may share PI with people or groups outside of our company without your OK in some cases. We ll let you know before we do anything where we have to give you a chance to say no. We ll tell you how to let us know if you don t want us to use or share your PI. You have the right to see and change your PI. We make sure your PI is kept safe. Do you need help with your healthcare, talking with us, or reading what we send you? Call us toll free at (TTY 711) to get this for free in other languages or formats.

5 Necesita ayuda con su atención médica? Necesita ayuda para leer lo que le enviamos o para hablar con nosotros? Llámenos al número gratuito (TTY 711) para conseguir esta información sin costo en otros idiomas o formatos. Revised March 5, 2018